Deepa Dixit, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

DD041485 Issued in MI

Practice address

37300 Garfield Rd
Suite B
Clinton Township, MI 48036-2051

Phone

(586) 286-0550

Fax

(586) 263-0735

NPI assigned

Oct 17, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ddixit252848@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cosmetic & Plastic Surgery Clinic, P.C.

  • Plastic Surgery Physician
  • Clinton Township, MI
  • NPI 1790009512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1255320883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37300 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362051",
            "telephone_number": "586-286-0550",
            "fax_number": "586-263-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 GARFIELD RD",
            "address_2": "SUITE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480362051",
            "telephone_number": "586-286-0550",
            "fax_number": "586-263-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXIT",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "DD041485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0305014821",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "861098320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "861098320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN MI",
            "identifier": "A74697",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1765213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED/CARE CHOICES",
            "identifier": "P101616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincenzo Dimercurio
• Alissa Dimichele, D.O
• Rudyard Limsingian Dimson, MD
• Discover Mental Wellness PLLC
• Shelly Lee Dittmar, PT
• Vijay K Dixit, M.D.
• Jennifer Marie Dixon, BSRSST
• Nicole Marie Dixon, CHW
• Stephanie Brionna Dixon, LMSW
• Valentina Djelaj, MSW

• Allergy & Immunology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.